Insurance Verification Specialist

Tallahassee Memorial HealthCare; Tallahassee (FL); On-site; USD 34,000 - 50,000; Full time

Job summary

Tallahassee Memorial HealthCare is seeking a dedicated professional to verify patient insurance coverage, plan details, and authorization numbers for timely access to care. You will interact with physician offices, payers, and patients to ensure accurate information and smooth intake processes.

Ideal candidates have a high school diploma or equivalent and at least one year in reception, customer service, or records keeping.

Qualifications

• High school diploma or equivalent as required.
• 1 year of experience in reception, customer service, or records keeping.
• HR may accept relevant related experience in lieu of education.

Responsibilities

• Verifies that patients have correct insurance plans, policy numbers and authorizations.
• Delivers excellent customer service when coordinating with physician offices, payers, and patients.
• Communicates insurance information to Case Management, Utilization Management, and Financial Counseling as appropriate.
• Performs duties in line with hospital policies and standards.

Skills

Customer service

Communication

Reception

Attention to detail

Education

High school diploma or equivalent

Associate degree in health care management

Job description

WHO WE ARE & WHAT WE DO

Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. We are a career destination with over 6,000 colleagues who reflect the diversity of our community.TMH is the region's healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the region's only:

• Level II Trauma Center
• Primary Stroke Center
• Level III Neonatal Intensive Care
• Pediatric Intensive Care
• The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle.

Our system also includes a psychiatric hospital, multiple specialty care centers, six residency programs and more than 50 affiliated physician practices.

HOW YOU'LL MAKE AN IMPACT

Your Role:

• Ensures that all patients receiving services at Tallahassee Memorial Hospital have been assigned the correct insurance plan, policy number, and authorization number.
• Utilizes excellent customer service skills when working with physician offices, third party payers, and patients.
• Communicates financial and insurance information to Case Management, Utilization Management, and Financial Counseling staff members (when appropriate).
• Performs these functions in accordance with the facility's philosophy, policies, procedures, and standards.

Reports To:

• RN/Nurse Manager (JC: 031001)

Supervises:

• None

WHAT YOU’LL NEED TO APPLY

Required Education:

• High school diploma or equivalent (e.g., certificate of high school equivalency).
  • Human Resources (HR) may accept relevant, directly related professional experience in lieu of required education. Experience accepted in lieu of required education will not be applied to the minimum education requirement below (i.e., the same experience will not be counted twice).

Preferred Education:

• Associate degree in medical terminology or health care management.

Required Experience:

• One (1) year of experience in reception, customer service, and/or record keeping

Preferred Experience:

• Experience in patient access, billing, cash collections, insurance, and pre-certification requirements
• Directly related hospital experience.

Required Certification/License/Registry:

• None

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Tallahassee Memorial HealthCare is an equal opportunity employer and drug-free workplace. All employment is contingent upon successful completion of a drug screen, background check, reference verification, health assessment, and credential/license verification.